Individual
MIRANDA L WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
644 MAYSVILLE RD, MOUNT STERLING, KY 40353-9464
(859) 398-2100
(859) 398-2106
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(859) 398-2100
(859) 398-2106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4034089
KY
Other
Enumeration date
02/05/2025
Last updated
03/19/2026
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